"Sentinel Seizure" as a Warning Sign Preceding Fatal Rupture of a Giant Middle Cerebral Artery Aneurysm.

Andereggen, Lukas; Andres, Robert H (2017). "Sentinel Seizure" as a Warning Sign Preceding Fatal Rupture of a Giant Middle Cerebral Artery Aneurysm. World neurosurgery, 100, 709.e11-709.e13. Elsevier 10.1016/j.wneu.2017.02.017

[img] Text
1-s2.0-S1878875017301778-main.pdf - Published Version
Restricted to registered users only
Available under License Publisher holds Copyright.

Download (941kB) | Request a copy

BACKGROUND Sentinel headache is a well-known warning sign preceding subarachnoid hemorrhage (SAH) caused by rupture of an intracranial aneurysm. New-onset seizure or "sentinel seizure" preceding aneurysmal SAH, however, is uncommon. CASE DESCRIPTION We report a 51-year-old man with a new-onset seizure. Diagnostic workup revealed a giant middle cerebral artery aneurysm without evidence of subarachnoid or intracerebral hemorrhage. Antiepileptic therapy was initiated, elective diagnostic angiography and subsequent treatment was scheduled, and the patient was discharged home. Four days later, he suddenly lost consciousness and subsequently died of a massive aneurysmal SAH. CONCLUSIONS As with sentinel headache, new-onset seizures in patients with unruptured intracranial aneurysms might prompt immediate treatment to prevent imminent SAH with its subsequent high morbidity and mortality.

Item Type:

Journal Article (Further Contribution)

Division/Institute:

04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Neurosurgery

UniBE Contributor:

Andereggen, Lukas

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1878-8750

Publisher:

Elsevier

Language:

English

Submitter:

Nicole Söll

Date Deposited:

05 Mar 2018 09:28

Last Modified:

05 Mar 2018 09:30

Publisher DOI:

10.1016/j.wneu.2017.02.017

PubMed ID:

28216212

Uncontrolled Keywords:

Aneurysm Seizure Sentinel headache Subarachnoid hemorrhage

BORIS DOI:

10.7892/boris.107957

URI:

https://boris.unibe.ch/id/eprint/107957

Actions (login required)

Edit item Edit item
Provide Feedback